An appropriate procedure for the measurement of an adult's temperature with a tympanic membrane sensor is:
A. Pulling the ear pinna down and back
B. Moving into the ear in a figure-eight pattern
C. Fitting the probe loosely into the ear canal
D. Pointing the probe toward the mouth and chin
B
B. Move thermometer in a figure-eight pattern
A. Pull ear pinna backward, up, and out for an adult
C. Fit speculum tip snug in canal and do not move
D. Point speculum tip toward nose
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An infant is born with blood type AB. The father is type A and the mother is type B. The father asks why the baby has a blood type different from that of the parents. The nurse's answer should be based on the knowledge that which is true?
a. Both A and B blood types are dominant. b. Types A and B are recessive when linked together. c. The baby has a mutation of the parents' blood types. d. Type A is recessive and links more easily with type B.
During the psychosocial portion of the nursing assessment a school-age child states, "I know I am not as good as them, so I just play by myself at recess every day." Which conclusion by the nurse is accurate?
1. The child has a good sense of self-worth. 2. The child has a poor body image. 3. The child has decreased self-esteem. 4. The child has a self-determined concept.
The nurse is administering warfarin (Coumadin) to a patient with deep vein thrombophlebitis. Which laboratory value indicates warfarin is at therapeutic levels?
A) Partial thromboplastin time (PTT) 1½ to 2 times the control B) Prothrombin time (PT) 1½ to 2 times the control C) International normalized ratio (INR) of 3 to 4 D) Hematocrit of 32%
In aortic stenosis, the patient's point of maximal impulse is commonly located at the:
A. Fifth intercostal space mid-clavicular line B. Fifth intercostal space mid-axillary line C. Second intercostal space left sternal border D. Second intercostal space right sternal border